The salary of doctors in township health centers is about 2,000 to 3,000 yuan per month.
The income of doctors in my country mainly consists of salary and bonus. Wages are based on enterprise establishment, related to length of service and academic qualifications, and include position wages, salary grade wages and some subsidies. Salary accounts for about 1/4 of a doctor's overall income. The bonus is brought by the performance of the department and is related to the efficiency of the department itself. In addition, some experienced doctors can work outside the hospital to earn extra income.
There are problems in township health centers:
1. The infrastructure construction and equipment level of township health centers are not optimistic. Although the construction of township health centers has been vigorously carried out, the infrastructure and appearance of some township health centers have undergone major changes.
However, due to long-term insufficient investment, most health centers have limited self-development capabilities and do not have the ability to update equipment and renovate houses. They only rely on project funds to build houses and cannot afford equipment. Some counties ( Municipal) and district-level matching funds have not yet been received. Township health centers still have dilapidated buildings, and most health centers still lack equipment. The task of completely changing the appearance and backward equipment of township health centers is still very arduous.
2. Survive in the cracks: the technical equipment is not as good as that of the superior hospitals at the county level and above, and the flexibility is not as good as that of village health clinics, such as price, credit, familiarity, etc.
3. The mechanism is inactive and poorly managed. Some health centers still follow the employment mechanism and allocation methods of the planned economy period, and the enthusiasm and subjective initiative of employees cannot be fully utilized. Some county-level health administrative departments have neglected to provide guidance on the operation and management of township health centers, which has affected the construction and development of township health centers to a certain extent. There is a surplus of personnel and a shortage of truly capable people.
4. The management of personnel, business, and funds of township health centers is not thorough, and the financial subsidy policies and measures to solve the expenses of retirees are not effective enough, and the enthusiasm is not high.
In some counties (cities) and districts, the rural medical and health budgets for township health centers have not increased but have declined. These are social public services such as disease control, health supervision, maternal and child health care, and health education that are financially guaranteed* **Health funding is still seriously insufficient. The standards for financial investment vary from place to place. Here, there is not even a penny of funding. It is said that it is transferred to the county management, but it is not as good as the original township management. After going back and forth, it can be said that the health center is an unmanned unit.
5. Salaries and benefits are low, and graduates from some regular colleges have to deal with various examinations, forms, continuing education, etc.
6. Over-the-counter drugs are sold casually in pharmacies, and prescriptions can be issued without being qualified as a physician. The administration does not know how many directors of health centers are elected, most of them are appointed by the health bureau.
7. Township health centers are positioned as medical institutions that "make money to support themselves", rather than as rural primary health care, disease control and health supervision, as well as the management of village clinics and rural doctors. Public health institutions.
At the same time, some functional departments always focus the construction of township health centers on "improving medical service capabilities and levels" and put forward unrealistic development goals and requirements, while losing the ability of township health centers to Some public health functions.
This kind of misdirection has brought wrong information, that is, "township health centers make money, and the reason why they do not work well is because they lack the ability to make money." This has further increased the pressure on towns and villages to make money. The neglect of the public health functions of health centers has made it more difficult for township health centers to get out of trouble.
The above data source: People's Daily Online - Is the income of doctors high?
The above data source: Baidu Encyclopedia-Township Health Center